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학습 자료 둘러보기 →The classic presentation of encopresis involves a child with chronic functional constipation who experiences involuntary soiling. The key assessment finding is a palpable fecal mass in the left lower quadrant coupled with a history of overflow incontinence.
This occurs because a large, hard stool mass (fecal impaction) stretches the rectum, causing loss of sensation. Liquid stool from higher in the colon then leaks around the impaction and passes involuntarily.
Do not confuse this with diarrhea from gastroenteritis. The history is chronic, and the child often exhibits stool withholding behaviors. A rigid, silent abdomen or bright red blood suggests an acute surgical or inflammatory condition, not functional constipation.
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